and the thing is this is what president clinton mentioned in the democratic convention. she voted for the same thing anywhere. it's in the ryan budget. the ryan budget keeps these cuts. so and ann marie buerkle talk that we need to do differently, how come she hasn't? she's been the congresswoman for two years. where's the change? buerkle: let's be real clear. the affordable care act in its current form cuts medicare for our seniors by $700 billion. a cut of medicare advantage by two and 50 billion, and 300 billion the cbo has is with us cuts to be even more. that does not add cats to insurance coverage to medicare is a federal program. it will be cuts to the services that are hospitals and physicians can provide for our seniors. those will be the cuts. the impact our seniors will be real. we are already hearing from our constituents saying that the cabinet decision you will treat medicare patients. it's real and it is a really consequence of this affordable care act. >> moderator: ursala rozum, 30 seconds. rozum: i think disagreement over the affordable care act and con